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Nonprofiteer
← HOSPITAL DEVELOPMENT CO

Form 990 for tax year 2022

Filed by HOSPITAL DEVELOPMENT CO.

Totals

Total revenue
$62,515,507
Total expenses
$62,525,549
Contributions and grants received
$83,056
Grants paid
$0
Program service revenue
$61,458,878
Investment income
$77,334
Other revenue
$896,239
Total assets, end of year
$50,041,902
Total liabilities, end of year
$33,538,356
Net assets or fund balances, end of year
$16,503,546
Program services expenses (Part IX)
$46,128,165
Management and general expenses
$16,397,384
Fundraising expenses
$0
Program service expenses (Part III)
$46,128,165

Program services were 73.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $55,556

  • 1f · All other contributions, gifts and grants

    $27,500

  • 2a · Program service revenue: Patient services

    total $58,970,119 · related or exempt $58,970,119

  • 2b · Program service revenue: Pharmacy-340B Program

    total $1,506,454 · related or exempt $1,506,454

  • 2c · Program service revenue: Patient transport services

    total $870,944 · related or exempt $870,944

  • 2d · Program service revenue: Wellness center

    total $111,361 · related or exempt $111,361

  • 3 · Investment income

    total $111,271 · excluded $111,271

  • 7b · Less cost or other basis and sales expenses

    securities $33,937

  • 7c · Gain or loss

    securities -$33,937

  • 7d · Net gain or loss

    total -$33,937 · excluded -$33,937

  • 11a · Other revenue: Cafeteria

    total $306,948 · related or exempt $306,948

  • 11b · Other revenue: Incentives

    total $174,190 · related or exempt $174,190

  • 11c · Other revenue: Rebates

    total $69,610 · related or exempt $69,610

  • 11d · All other revenue

    total $345,491 · related or exempt $345,491

  • 11e · Other revenue, total

    $896,239

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,491,453 · program services $1,029,252 · management and general $462,201

  • 7 · Other salaries and wages

    total $21,277,638 · program services $14,683,698 · management and general $6,593,940

  • 8 · Pension plan contributions

    total $581,742 · program services $401,460 · management and general $180,282

  • 9 · Other employee benefits

    total $4,642,894 · program services $3,204,061 · management and general $1,438,833

  • 10 · Payroll taxes

    total $1,475,117 · program services $1,017,978 · management and general $457,139

  • 11b · Fees: legal

    total $89,344 · management and general $89,344

  • 11g · Fees: other

    total $8,342,013 · program services $5,168,360 · management and general $3,173,653

  • 12 · Advertising and promotion

    total $174,895 · program services $120,695 · management and general $54,200

  • 13 · Office expenses

    total $2,282,970 · program services $1,575,478 · management and general $707,492

  • 14 · Information technology

    total $892,100 · program services $615,638 · management and general $276,462

  • 16 · Occupancy

    total $499,080 · program services $344,415 · management and general $154,665

  • 17 · Travel

    total $9,789 · program services $6,755 · management and general $3,034

  • 20 · Interest

    total $603,418 · management and general $603,418

  • 22 · Depreciation, depletion and amortization

    total $3,249,506 · program services $2,242,484 · management and general $1,007,022

  • 23 · Insurance

    total $1,179,167 · program services $813,743 · management and general $365,424

  • 24a · Other expenses: Medical supplies

    total $8,790,879 · program services $8,790,879

  • 24b · Other expenses: Bad debt expense

    total $2,860,961 · program services $2,860,961

  • 24c · Other expenses: Health care provider ta

    total $1,403,411 · program services $1,403,411

  • 24d · Other expenses: Other direct expenses

    total $1,087,339 · program services $750,373 · management and general $336,966

  • 24e · All other expenses

    total $1,591,833 · program services $1,098,524 · management and general $493,309

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $546,661

  • 2 · Savings and temporary cash investments

    beginning of year $4,390,534 · end of year $5,336,826

  • 4 · Accounts receivable

    beginning of year $6,973,229 · end of year $7,583,828

  • 8 · Inventories for sale or use

    beginning of year $1,016,765 · end of year $1,105,750

  • 9 · Prepaid expenses and deferred charges

    beginning of year $201,581 · end of year $201,574

  • 10a · Land, buildings and equipment: cost or other basis

    $57,382,223

  • 10b · Land, buildings and equipment: accumulated depreciation

    $25,915,457

  • 10c · Land, buildings and equipment, net

    beginning of year $32,976,580 · end of year $31,466,766

  • 11 · Investments: publicly traded securities

    beginning of year $1,870,902 · end of year $2,053,696

  • 15 · Other assets

    beginning of year $1,129,411 · end of year $2,293,462

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,936,402 · end of year $7,554,870

  • 23 · Secured mortgages and notes payable

    beginning of year $23,815,220 · end of year $23,888,094

  • 25 · Other liabilities

    beginning of year $3,143,414 · end of year $2,095,392

  • 27 · Net assets without donor restrictions

    beginning of year $15,916,339 · end of year $16,201,245

  • 28 · Net assets with donor restrictions

    beginning of year $294,288 · end of year $302,301

Mission and programs · 2022

Mission

Roane General Hospital is dedicated to the delivery of high-quality, cost effective health care to all members of our community. The work we do makes a difference in people's lives.

Activities or mission (Part I)

To promote the general health and welfare of Roane County and surrounding areas and all of the citizens thereof by furthering all legitimate methods for the prevention and treatment of disease and the positive promotion of health, both personal and public, including but not limited to the operation of hospitals, nursing schools, nursing homes and medical research facilities; to foster and conduct education in medicine in all its branches and in those adjacent and kindred arts and sciences such as nursing and technical training which contribute to the diagnosis, treatment, care and prevention of disease.

  • Roane General Hospital generated gross revenue of $132,403,437 of which $73,047,564 was uncollectible due to contractual agreements with Medicare, Medicaid and other third-party payors. Bad debts due to inability or unwillingness of patients to pay amounted to $2,860,961. Additionally, charges for patients meeting 200% of the poverty level and who qualified for charity care were written off totaling $713,537.

    Expenses $46,128,165 · Revenue $62,355,117

  • As a Critical Access hospital we provided health care services to our community which included the following days of care: Skilled/Intermediate Care Facility 12,446; Swing 1,695; Respite 0; and Acute Care 787.Additionally, we provided 46,117 outpatient diagnostic visits; 7,382 emergency room visits and 42,474 rural health clinic provider visits.Revenue and expenses related to these services are included above in box 4a.

  • The Hospital provided community health education and health screening services at reduced fees during the year including health fairs; diabetes education seminars and screenings; and sports physicals. The Hospital served a total of 4,170 community participants through its community health education and health screening programs.

  • Other programs provided include Cardiac Rehab, Laboratory Services, Emergency Room, Pharmacy, Radiology, CT Scan, Ultrasound, MRI, Nuclear Medicine, Physical Therapy, Operating Room and RHC's. Revenue and expenses related to these services are included above in box 4a.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jack D Garrett II

    Board President

    Total calculated
    $0
    Hours/week
    0.5

  • William G Downey Jr

    Board Vice President

    Total calculated
    $0
    Hours/week
    0.5

  • John A Varda

    Board Treasurer

    Total calculated
    $0
    Hours/week
    0.5

  • G Jeanette Atkinson

    Board Secretary

    Total calculated
    $0
    Hours/week
    0.5

  • Doug Bentz

    CEO/Ex Officio

    Total calculated
    $631,330
    From this org
    $597,140
    From related orgs
    $0
    Other
    $34,190
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $348,551
    Bonus
    $70,720
    Other
    $177,869
    Deferred
    $11,600
    Nontaxable benefits
    $22,590
    Filer's total
    $631,330

  • Kevin M Gaughan

    Board Member

    Total calculated
    $0
    Hours/week
    0.5

  • R Floyd Bowlby

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Emily Westfall

    Board Member

    Total calculated
    $0
    Hours/week
    0.5

  • Christine M Hedges

    Board Member

    Total calculated
    $0
    Hours/week
    0.5

  • Paul Hughes

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • John H Taylor

    Board Member

    Total calculated
    $0
    Hours/week
    0.5

  • Robert E Zdanek

    Board Member

    Total calculated
    $0
    Hours/week
    0.5

  • Scott Duffy MD

    Member/Chief of Med Staff

    Total calculated
    $644,986
    From this org
    $602,422
    From related orgs
    $0
    Other
    $42,564
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $512,422
    Bonus
    $85,000
    Other
    $5,000
    Deferred
    $11,600
    Nontaxable benefits
    $30,964
    Filer's total
    $644,986

  • Amy W Downey CPA MPA

    Chief Financial Officer

    Total calculated
    $185,812
    From this org
    $162,750
    From related orgs
    $0
    Other
    $23,062
    Hours/week
    40 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $144,750
    Bonus
    $18,000
    Other
    $0
    Deferred
    $6,677
    Nontaxable benefits
    $16,385
    Filer's total
    $185,812

  • Julie Carr MSN

    Chief Clinical Officer

    Total calculated
    $216,035
    From this org
    $185,829
    From related orgs
    $0
    Other
    $30,206
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,429
    Bonus
    $20,400
    Other
    $0
    Deferred
    $7,616
    Nontaxable benefits
    $22,590
    Filer's total
    $216,035

  • Brent Watson MD

    Medical Director

    Total calculated
    $632,539
    From this org
    $589,976
    From related orgs
    $0
    Other
    $42,563
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $459,477
    Bonus
    $109,319
    Other
    $21,180
    Deferred
    $11,600
    Nontaxable benefits
    $30,963
    Filer's total
    $632,539

  • Richard Bowman MD

    Physician

    Total calculated
    $430,845
    From this org
    $387,890
    From related orgs
    $0
    Other
    $42,955
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,237
    Bonus
    $170,553
    Other
    $10,100
    Deferred
    $10,756
    Nontaxable benefits
    $32,199
    Filer's total
    $430,845

  • Stephen Groves MD

    Physician

    Total calculated
    $564,505
    From this org
    $521,205
    From related orgs
    $0
    Other
    $43,300
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $494,545
    Bonus
    $15,900
    Other
    $10,760
    Deferred
    $11,101
    Nontaxable benefits
    $32,199
    Filer's total
    $564,505

  • Hong-Kin Ng MD

    Physician

    Total calculated
    $412,340
    From this org
    $368,541
    From related orgs
    $0
    Other
    $43,799
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $313,541
    Bonus
    $55,000
    Other
    $0
    Deferred
    $11,600
    Nontaxable benefits
    $32,199
    Filer's total
    $412,340

  • Christopher Lambert MD

    Physician

    Total calculated
    $405,977
    From this org
    $393,092
    From related orgs
    $0
    Other
    $12,885
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $290,344
    Bonus
    $89,483
    Other
    $13,265
    Deferred
    $11,600
    Nontaxable benefits
    $1,285
    Filer's total
    $405,977

  • ELENA KWON DO

    Physician

    Total calculated
    $384,053
    From this org
    $361,645
    From related orgs
    $0
    Other
    $22,408
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $332,865
    Bonus
    $23,020
    Other
    $5,760
    Deferred
    $1,717
    Nontaxable benefits
    $20,691
    Filer's total
    $384,053

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 6
The Organization offers an incentive compensation plan to certain members of its executive staff including the CEO, Chief of Staff, CFO, VP of Business Development, VP of Quality and Ancillary Services, Chief Nursing Officer, Executive Director of Information Technology and others. The program is intended to provide motivation and direction for the management team to accomplish the goals and objectives set forth by the Board at the beginning of each calendar year. These goals are based upon the annual strategic plan as well as the financial performance of the hospital. Shortly after the calendar year, the management team will present its progress and accomplishments to the Board with a recommended bonus based upon the criteria set forth. The board has discretion to approve, amend, or deny any recommendations. To be eligible for the program, the executive member must serve in his/her position for at least four months and be employed at the end of the program calendar year. If the individual serves less than one year but more than four months, the incentive will be prorated.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Roane Medical Building Inc

    C · Health care and social assistance - offices of physicians · WV · 100% owned · share of assets $1,000

    Directly controlled by Roane General Hospital

Provenance

Return type
form_990
Tax year
2022
Filed
16 July 2024
IRS schema version
2022v5.0
Source object
202441999349301219

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